| Abstract |
Objective To evaluate the application value of plate screw fixation in patients with traumatic fracture of long canal bone in extremities. Methods A total of 62 patients were selected who were diagnosed with traumatic fractures of long tubular bones in the extremities, and their hospital stay was from August 2021 to August 2022. The randomized number table method was used to divide the patients into two groups, with 31 cases in both groups. The patients treated with intramedullary nscrew internal fixation were included in the control group, and the patients treated with plate screw internal fixation were regarded as the observation group. Treatment related indexes, indexes before and after surgery, pain scores, bone healing effects and postoperative complications were compared between groups. Results (1) The length of incision, the amount of bleeding, the operation time, the hospital stay and the healing time in the observation group were shorter than those in the control group, and there was a significant difference between the groups, P < 0.05. (2) There was no significant difference between the groups before the operation, and the level of difference during the operation was low (P>0.05). In the observation group, the pain was lower, the limb function, quality of life and joint function scores were improved compared with the control group after the operation of long tube bone trauma fracture, and there was a significant level of difference between the groups, P < 0.05. (3) There was no significant difference between groups in pain perception score before surgery, and the difference level was low during surgery, P>0.05. In the observation group, the score of pain perception after traumatic fracture of limb long canal bone was decreased compared with that of the control group, and a significant level of difference was found between the groups, P < 0.05. (4) Compared with the control group (70.97%), the excellent and good rate of bone union in the observation group (93.55%) was improved, and the difference level was higher during the period, P<0.05. (5) Compared with the control group (35.48%), the incidence of postoperative complications such as swelling, infection, poor healing and bone nonunion decreased in the observation group (9.68%), with a higher level of difference during the period (P<0.05). Conclusion The effect of internal fixation with plate and screw in patients with traumatic fracture of bone and femoral limbs is accurate, which can reduce intraoperative injury, guarantee limb function, quality of life and joint function, and reduce postoperative complications and pain of patients.
|